Veidlapa Nr. M-3 (8)
Study Course Description
Diagnostics and Treatment of Psychical Disorders in Primary Care
Course Code
PUNK_015
Branch of Science
Clinical medicine; Psychiatry
ECTS
3.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Elmārs Tērauds
Structure Unit Manager
Elmārs Rancāns
Structural Unit
Department of Psychiatry and Narcology
Contacts
Riga, 2 Tvaika Street, pnk@rsu.lv, +371 67080131
About Study Course
Objective
To give knowledge to the 6th Academic Year students about epidemiology, etiology, clinical features, diagnostics and course of disease (according to ICD-10) of mental and behavioural disorders mostly seen in daily practice of general practitioner. To give knowledge about emergency treatment in primary care, basic principles of prophylaxis, pharmacological treatment, social rehabilitation and the role of psycho therapeutic treatment of mental and behavioral disorders in the primary care. To give knowledge about organization and practical work of metal health care; to give knowledge about ethical and legal principles in psychiatry; and distributions of competence between different physicians when it comes to planning and organizing health care of mentally ill patients.
Preliminary Knowledge
Psychiatry and Addiction Disorders (Study Course in Psychiatry in the 4th Academic Year).
Learning Outcomes
Knowledge
1.Etiology, course, clinical features and early diagnostic possibilities of mental disorders in primary care. Diagnosis and treatment of emergency cases in psychiatry. Basic principles of pharmacological treatment, social rehabilitation, role of psychotherapeutic treatment of mental disorders and support therapy of severe mental disorders in primary care. The role of primary care specialist in the above mentioned management.
Skills
1.Psychiatric evaluation, structured description of the mental disorder in medical records of primary care. Use of diagnostic scales. Features of practical work with different groups of patients (patients with organic mental disorders, schizophrenia spectrum disorders, affective disorders, neurotic and stress related disorders, anxiety, somatoform disorders, eating disorders).
Competences
1.Knowledge about mental health care in primary care setting. Understanding ethical and legal principles in psychiatry; distributions of competence among general practitioner and a psychiatrist; planning and management of mental health care. Support therapy and psychoeducation of a patient and family members. Reduction of stigmatization and prejudices patients would have. Management of emergency psychiatric hospitalization.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
Evaluation of patient clinical condition descriptions, multiple choice tasks. Students are invited to provide an assessment of the study course after completing the course - the questionnaires are anonymous and the results can be reviewed only in summary form.
|
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
Exam (Written) - 50%. Cumulative assessment of course work - 50%. The cumulative assessment of the course work consists of:
1. Classes attended.
2. Participation in classes and evaluations of patients' descriptions of their clinical condition.
The exam ticket will consist of 2 randomly selected questions. Exam questions are available in E-studies. The length of each exam question will be adjusted so that it can be easily answered within 20 minutes and on no more than one A4 page. The student will pull out the exam ticket just before the exam. Each exam question will be assessed separately and the final assessment will be formed from the answers to the exam questions - 50% and from the assessment of the student's work within the course - 50%.
|
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
4
|
Topics
|
The structure of mental health care, legislation issues in psychiatry in Latvia. Cooperation of mental health care institutions and general practitioner. Epidemiology of mental disorders in primary care setting. Diagnostic interview with a patient. Symptoms and syndromes of mental disorders and their diagnostic features in primary care setting. Different kinds of anxiety, comorbidity with somatic disorders. Affective disorders and their comorbidity with somatic disorders.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
4
|
Topics
|
Early diagnostic of psychotic disorders, diagnostic features in primary care setting. Treatment features of psychotic patients in primary care setting. Early diagnostic of organic mental disorders, mild cognitive disorders in primary care setting. Diagnostic and treatment or organic psychotic disorders and dementia.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
The structure of mental health care, legislation issues in psychiatry in Latvia. Cooperation of mental health care institutions and general practitioner. Epidemiology of mental disorders in primary care setting. Classifications of mental disorders. General psychopathology.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Kinds of anxiety (panic disorder, agoraphobia, social and specific isolated phobias), generalized anxiety, OCT – comorbidity with somatic disorders. Adjustment disorders.
Somatoform disorders – diagnosis, differential diagnosis, comorbidity with somatic disorders in primary care setting. Principles of therapy, features of care in primary care setting.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Affective disorders – cyclotymia, dystymia, recurrent depressive disorders in general practitioner care setting.
Bipolar affective disorders in general practitioner care setting. Association with somatic disorders.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Acute psychosis, diagnosis, differential diagnosis in general practitioner care setting. Organizing of emergency care, principles of therapy.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Schizophrenia spectrum disorders – shizotypal disorder, different forms of schizophrenia, differential diagnosis, therapy.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Organic and symptomatic disorders, mild cognitive disorders, dementias (Alzheimer’s disease, vascular dementia, frontotemporal dementia).
|
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam (Written)
Bibliography
Required Reading
1.
Sample D, Smyth R. Oxford Handbook of Psychiatry. 3rd edition, Oxford University Press, Oxford, 2019- EBSCO eBook Academic Collection
2.
Gautam Gulati, Mary-Ellen Lynall, & Kate Saunders. Psychiatry (11th ed., Lecture notes). Wiley. 2014
3.
The ICD-10 Classification of Mental and Behavioural Disorders. World Health Organization, Geneva, 1992. (akceptējams izdevums)
4.
Taylor, David M., et al. The Maudsley Prescribing Guidelines in Psychiatry. John Wiley & Sons, Incorporated, 2015. ProQuest Ebook Central
5.
Rancāns E., Tērauds E., Zaļkalns J., Riževa I., Tirāns E., Taube M. Depresijas un neirotisko traucējumu diagnostikas un ārstēšanas rekomendācijas ģimenes ārstiem. RSU Psihiatrijas un narkoloģijas katedra. Rīga, 2012. 32 lpp. (akceptējams izdevums)
6.
Klīniskie algoritmi, pacientu ceļi un indikatori Psihiskās veselības jomā, SPKC, 2020
7.
Ārvalstu studentiem/For International students:
8.
Sample D, Smyth R. Oxford Handbook of Psychiatry. 3rd edition, Oxford University Press, Oxford, 2019- EBSCO eBook Academic Collection
9.
Gautam Gulati, Mary-Ellen Lynall, & Kate Saunders. Psychiatry (11th ed., Lecture notes). Wiley. 2014
10.
The ICD-10 Classification of Mental and Behavioural Disorders. World Health Organization, Geneva, 1992. (akceptējams izdevums)
11.
Taylor, David M., et al. The Maudsley Prescribing Guidelines in Psychiatry. John Wiley & Sons, Incorporated, 2015. ProQuest Ebook Central
Additional Reading
1.
E. Tērauds, E. Rancāns, R. Andrēziņa, B. Kupča, G. Ancāne, I. Ķiece, Ņ. Bezborodovs. Depresijas diagnostikas un ārstēšanas vadlīnijas. 3. Izdevums. Latvijas psihiatru asociācija. Rīga, 2016. 52 lpp. Latvian only
2.
E. Tērauds, E. Rancāns, R. Andrēziņa, B. Kupča, I. Ķiece, I. Zārde, Ņ. Bezborodovs. Šizofrēnijas diagnostikas un ārstēšanas vadlīnijas. 3. Izdevums. Latvijas psihiatru asociācija. Rīga, 2014., 43 lpp. Latvian only
3.
E. Tērauds, E. Rancāns, R. Andrēziņa, B. Kupča. Bipolāri afektīvo traucējumu diagnostikas un ārstešanas vadlīnijas. 2. Izdevums. Latvijas psihiatru asociācija. Rīga, 2016., 48 lpp. Latvian only
4.
Pacientu ar psihiskiem un uzvedības traucējumiem dinamiskā novērošana pie ģimenes ārsta. Algoritmi ģimenes ārstiem. NVD, 2021. Latvian only
Other Information Sources
1.
International Classification of Diseases. 11th Revision. WHO, Geneva, 2022